MLD RUSP Nomination ... Your permission, please

We are getting ready to finalize the MLD RUSP Nomination.

The Nomination Form primarily focuses on the evidence for MLD’s inclusion on the RUSP, however, it also allows for indications of support.  By checking Yes below (and making any necessary updates), we will include you in the list of supporters when we submit.  

If you cannot make a statement of support, please feel free to indicate in the Comment field the appropriate person in your organization that we should contact to make the support statement. 

This FORM will close on Thursday June 6th.

MLD RUSP Nomination Support Request

MD, PhD, CGC, etc.
Company, institution, none, etc.
Title at your Company or Institution
I assert I have the authority to submit this indication of support on behalf of:
Feedback, comments, referral to another individual within your organization, etc.
OPTIONAL – 2 short paragraphs – max 500 characters